Browsing by Author "Ongen, G"

Now showing 1 - 3 of 3
  • No Thumbnail Available
    Item
    Extrapulmonary involvement in patients with sarcoidosis in Turkey
    Okumus, G; Musellim, B; Cetinkaya, E; Turker, H; Uzaslan, E; Yenturk, E; Uzun, O; Saglam, L; Kumbasar, OO; Celik, G; Annakkaya, AN; Altiay, G; Tabak, L; Sakar, A; Kiter, G; Erturan, S; Turktas, H; Yalniz, E; Akkoclu, A; Ogus, C; Dogan, OT; Ozkan, M; Aktogu, S; Uzel, I; Ongen, G
    Background and objective: Extrapulmonary sarcoidosis is common, and is almost always associated with concomitant thoracic involvement. Extrapulmonary manifestations vary on the basis of gender, age at presentation and ethnicity. The aim of this study was to investigate extrapulmonary involvement in patients with sarcoidosis in Turkey. Methods: This study was conducted by Turkish Thoracic Society Clinical Problems Study Group. New cases of sarcoidosis between 1 June 2004 and 31 May 2006 were recorded on electronic case record forms sent to all potential investigators and information about extrapulmonary involvement was collected. Results: One hundred and nineteen of 293 patients (83 female, 36 male, mean age = 45 +/- 12 years) had extrapulmonary involvement in this study (40.6%). The median time to diagnosis was 6 months and this was longer than patients with just thoracic sarcoidosis (P = 0.001). Extrapulmonary symptoms were present in 181 (61.8%) patients, and skin lesions, arthralgia and back pain were the commonest (33.4%, 20.8% and 16.4%, respectively). Incidence of organ involvement was independent of age with the exception of ocular involvement, which was higher in those under the age of 40 years (P = 0.007). Conclusions: Skin and peripheral lymph node involvement were the most common sites of extrapulmonary involvement and ocular involvement was more common in those under the age of 40 years in patients with sarcoidosis in a Turkish population.
  • No Thumbnail Available
    Item
    Epidemiological features of Turkish patients with sarcoidosis
    Musellim, B; Kumbasar, OO; Ongen, G; Cetinkaya, E; Turker, H; Uzaslan, E; Yenturk, E; Uzun, O; Saglam, L; Celik, G; Okumus, G; Annakkaya, AN; Altiay, G; Tabak, L; Sakar, A; Kiter, G; Erturan, S; Turktas, H; Yalniz, E; Akkoclu, A; Ogus, C; Dogan, OT; Ozkan, M; Aktogu, S; Uzel, I
    Epidemiological characteristics of sarcoidosis differ according to geographical distribution. The aim of our study was to disclose epidemiological characteristics in our country. The data was collected from investigators, who sent information on newly-diagnosed patients via internet. In 2 years 198 female and 95 mate patients were enrolled to the study (f/m:2.08). Mean age of patients was 44 +/- 13 years (17-90). Mean age of mate patients was 38 12 while mean age of female patients was 48 13 (p < 0.001). 73.4% of patients were nonsmokers (85.4% of females; 48.4% of mates; (p < 0.001)). About 50% of our 293 patients were housewives. Familial sarcoidosis was found in 3 patients' first degree relatives. Estimated annual incidence of sarcoidosis for Turkey was calculated as 4 per 100,000 person. According to our study, 2/3 of sarcoidosis patients were women; mean age of patients was 45 and the disease began 10 years later in female patients. 80% of patients were nonsmokers; negative relation between sarcoidosis and smoking was evident especially in women. Familial sarcoidosis frequency was lower compared to other studies in the literature. There was no occupational exposure history in our patients. Our incidence rate, is similar with the results of other European studies. (C) 2008 Elsevier Ltd. All rights reserved.
  • No Thumbnail Available
    Item
    What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
    Musellim, B; Borekci, S; Uzan, G; Sak, ZHA; Ozdemir, SK; Altinisik, G; Altunbey, SA; Sen, N; Kilinc, O; Yorgancioglu, A; Yilmaz, N; Ulasli, SS; Salepci, B; Ocakli, B; Sokullu, ZGE; Uzun, O; Kurtulus, S; Uslu, S; Saritas, E; Genc, S; Annakkaya, AN; Aydin, O; Bilgin, C; Turk, M; Ozmen, I; Tasbakan, MS; Halis, AN; Bahcecioglu, SN; Dabak, G; Isik, SR; Ozturk, AB; Akgun, M; Pihtili, A; Ozkan, G; Balbay, EG; Okumus, G; Onen, ZP; Yasayancan, N; Uysal, FE; Hanta, I; Kaya, Z; Turker, H; Berkesoglu, C; Celik, P; Cetinkaya, PD; Gundogus, B; Ongen, G; Tuncay, E; Erboy, F
    INTRODUCTION: Patient examinations performed in a limited time period may lead to impairment in patient and physician relationship, defective and erroneous diagnosis, inappropriate prescriptions, less common use of preventive medicine practices, poor patient satisfaction, and increased violent acts against health-care staff. OBJECTIVE: This study aimed to determine the appropriate minimal duration of patient examination in the pulmonary practice. METHODS: A total of 49 researchers from ten different study groups of the Turkish Thoracic Society participated in the study. The researchers were asked to examine patients in an almost ideal manner, without time constraint under available conditions. RESULTS: A total of 1680 patient examinations were reviewed. The mean duration of patient examination in ideal conditions was determined to be 20.4 +/- 9.6 min. Among all steps of patient examination, the longest time was spent for taking medical history. The total time spent for patient examination was statistically significantly longer in the university hospitals than in the governmental hospitals and training and research hospitals (P < 0.001). Among different patient categories, the patients with a chronic disorder presenting for the first time and were referred from primary or secondary to tertiary care for further evaluation have required the longest time for patient examination. CONCLUSION: According to our study, the appropriate minimal duration for patient examination is 20 min. It has been observed that in university hospitals and in patients with chronic pulmonary diseases, this duration has been increased to above 25 min. The durations in clinical practice should be planned accordingly.